51175 l . t
/406 )O I -� Lot No. 3/
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No.
Sanitary No.
00'
d
Date ` 196 -7—
Application is hereby made for a permit to
a / story, Type f Z
to be occupied only as
in accordance with PiciPplan, Plans and Specification filed herewith,
Estimated Value of Improvements $ j4 40
FEE O v� �O
E n- Plan Chac//k/�S
owner l/W�d �.0XTdress O&OIG37 �Z
.— F
Contr. r G Address
Phone -1 '3 Q 6 �0 State License )�'�f'a O /
/ Approved _.-GSIiC//Cllw�A.vf/'hi✓L.�
APPLICATION FOR ELECTRICAL PERMITr '70
Data 1 Z. - L 1 FEES `Q
Contr. Address
Address
Phone xC� �� State Lics I
pproved
APPLICATION FOR PLUMBIN & GAS PERMIT
Date �� Z 196 -7 GAS FEE $ 3Z
�^ PLUMBING FEE $ f3�
Contr. Address
Phone 3 7 9- S— 9 9 State License
Approved �� - • '^- �
DaAPPLICATION FOR APPLIANCE PERMIT
te �d Z 7 1967-F o��//`s �//
Contr. �'L-�'� <���+--L' 'A9dress '77� Cl`-u� Lc'�^-^-Ch le
Phone "24 O -� State Lieende
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the ,
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION 7
GATE INSPECTO
UNDERFLOOR-
FRAME
NDERFLOOR FRAME
DATE
LATH & PLASTER 2
DAT INSPE
FINAL
DATE INSPECTOR
ELECTRICAL
ELECT. SERVICE
DATE INSPECTOR
UNDERGROUND
. " .D(TE INSPECTOR
ROUGH WIRING 4
1 _ I 'OC R INSPECTOR
FINISH WIRING t�('
' Q D T I INSPECTOR
FIXTURES u
DATE INSPECTOR
MOTORS
ry D TINSPECTOR
FINAL xJ
yA DATE INSPECTOR
do aQaR
Wpw�- L.
PLUMBING & GAS
UNDERGROUND
DATE_ E<TOR
PARTIAL ROUGH _ C-��
DATE Tf PECTOR
ROUGH COMPLETE
DATE SPECTOR
MAIN DRAIN C
DATE INSPECTOR
GAS PIPING
DATE INSPECTOR
FINAL -�
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
APPLIANCE
F'•
INSPECTED
DATE 1 INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
MISC
DATE INSPECTOR
-.ROUTE SLIP
File No . 5-117S
Date Out - 15- �—
Date In /, p - Ir-67
Location
Subject . O .
Notes
Approve �S'6 7
d g -
Date Inspector
Bldg. Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-s"Z?........
F1 Sewer Connection Sanitary Permit No. 2- %-
Q.,-Plumbing Final Plumbing Permit
Lot No. ----------
Owner or Tenant ------- ..............
At
-------- tea=111,4.
-------------------- ...........
TractW- -- - - -- -------------------------------------------------------------------
Date Connected --------------- A0 �?�
---------------------------------------------------------------------------
---------------------------------------------------------- 190
Date Final -----------------------------/.
!�------------------------
RMIABING INSPECTOR
111 12166-1M
GAS SERVICE NOTICE OFFICE
,yam] J BUILDING INSPECTOR'S OFFICE COPY
f%LJ� CITY OF CUPERTINO
...... pp
To
You are hereby authorized to conned the GAS service for
Q
Owner or Tennan��tjj.. ....� Z -
At
.............
At . �.G... _-. /Z. ...--..,i. `..G�CK: ....L�cc�c.. ........_..........................
New Service ... ............
No. of Meters ., .,.............. Reconnect .............................
Move Service ..........
No. of Add. Meters .............. Move Meter ...............:........
.......................
PLUMBING INSPECTOR
OFFICE COPY
(� ELECTRIC SERVICE NOTICE
�I '�Q��1• BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
-
....... 196..4
To
You are herebyaut orized 1 n ct electrical servi e t
Owner or Tenant('... `r' _ ... n--._..,....._\ ..,,,ff..��....QQ .-_.. ..---.. _'_....... . ..
At ...L. �.j'j.??._l..(.;�. �.`.�..0.....�.`.'.C."' __ ...... ._ _ „P..................
No. of Wires ._... ........... Size of Wires ...y....--- Size of Switch
MotorLoad .......................... Voltage ._.......................... Phase ...............,........_.,.. ...
Heating Load ------------------- K. W .......................____ Voltage .............. _..............
.
^� Lig
i hL...._.: I1U.._ New Service.�Reconnec ....
No. of Meters_....._--G.w1.11 g f
Heat. 220......_.01 ee Wi .. ....._. Move Service_.........
No. of Add. Meter,...........
Power............... hrec P aze... Move Meter_............
Q
............. .a. .. ... .. .. ... ..��,�7 ...
ELECTRICAL INSPCION •'
CERTIFICATE - OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFjf CUPERTINO
Date -In 11..-....................... Building Permit No. tzflr
Located at -,"; 104-76 2-------- ------------- .........
The Building -----
Ownedby .. .................. ---- ------------------------------------------------------------------------------------
j)
(Completed
Has Been ) For Use As: -------i --------------------------------------------
----------------------------------------------------------------------------------- -------- ....................................................
...................................................................;............... ----------------------------------------------------- --------
........... .......................................... --------------------------- ............ ---------
---------------------------- .--------------------------------------------
BUILDING INSPECTOR
102 12/66-1m